Exacerbation of COPD | DECAF Score for Predicting Hospital Mortality

Purpose: To predict mortality for a patient admitted to the hospital with an exacerbation of COPD based on the DECAF score of Steer et al.

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Evaluation

Are you evaluating an adult hospitalized for an exacerbation of COPD?

Yes

White blood cell count

Percent eosinophils in the peripheral blood differential count (enter from 0 to 100)

Does the chest X-ray show a new consolidation?

Yes

Arterial pH

Does the patient have atrial fibrillation?

Yes

Degree of dyspnea

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Absolute eosinophil count

Total DECAF score

In-hospital mortality rate

30-day mortality rate

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Clinical Diagnosis, Including Family History For Genetics
Imaging Studies
- Changes of Emphysema in Plain Chest Radiograph (Chest X-Ray)
Other Testing
Criteria For Diagnosis
Severity, Prognosis, Stage
Complications
Differential Diagnosis And Mimics, Red Flags

Therapy

Options
Selection
Administration
- Indicators for COPD Patient Being Admitted to Hospital from ED
Referral And Transfer
- Indications for Referral of Patient with COPD to Pulmonologist

Monitoring

Disease Progression
Complication Detection
- Model of Murata et al for Predicting Relapse Following Outpatient Treatment for Decompensated Chronic Obstructive Pulmonary Disease (COPD)

Specialty

Pulmonology

Objective

severity
prognosis
stage

ICD-10

J44 - Other chronic obstructive pulmonary disease

Info

Purpose: To predict mortality for a patient admitted to the hospital with an exacerbation of COPD based on the DECAF score of Steer et al.

Specialty: Pulmonology

Objective: severity, prognosis, stage

ICD-10: J44,

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